The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.
Food Insufficiency and Health Services Utilization in a National Sample of Homeless Adults
Open accessAbstract
Background Homeless people have high rates of hospitalization and emergency department (ED) use. Obtaining adequate food is a common concern among homeless people and may influence health care utilization.Objective We tested the hypothesis that food insufficiency is related to higher rates of hospitalization and ED use in a national sample of homeless adults.Design We analyzed data from the 2003 Health Care for the Homeless (HCH) User Survey.Participants Participants were 966 adults surveyed at 79 HCH clinic sites throughout the US. The study sample was representative of over 436,000 HCH clinic users nationally.Measures We determined the prevalence and characteristics of food insufficiency among respondents. Using multivariable logistic regression, we examined the association between food insufficiency and four past-year acute health services utilization outcomes: (1) hospitalization for any reason, (2) psychiatric hospitalization, (3) any ED use, and (4) high ED use (≥ 4 visits).Results Overall, 25% of respondents reported food insufficiency. Among them, 68% went a whole day without eating in the past month. Chronically homeless (p = 0.01) and traumatically victimized (p = 0.001) respondents were more likely to be food insufficient. In multivariable analyses, food insufficiency was associated with significantly greater odds of hospitalization for any reason (AOR 1.59, 95% CI 1.07, 2.36), psychiatric hospitalization (AOR 3.12, 95% CI 1.73, 5.62), and high ED utilization (AOR 2.83, 95% CI 1.32, 6.08).Conclusions One-fourth of homeless adults in this national survey were food insufficient, and this was associated with increased odds of acute health services utilization. Addressing the adverse health services utilization patterns of homeless adults will require attention to the social circumstances that may contribute to this issue.
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“Homeless individuals have worse physical and emotional health status than the general population, including those from deprived neighbourhoods.32,49-51”
From The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations (2014) · cites this paper as [50]
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Cites
A simulation study of the number of events per variable in logistic regression analysis
Peduzzi, P., Concato, J., Kemper, E., Holford, T. R., & Feinstein, A. R. (1996) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(96)00236-3 · Cited by 9,655
Food Insecurity Is Associated with Chronic Disease among Low-Income NHANES Participants
Seligman, H. K., Laraia, B. A., & Kushel, M. (2009) · Journal of Nutrition · doi:10.3945/jn.109.112573 · Cited by 1,739
Core indicators of nutritional state for difficult-to-sample populations
Anderson, S. A. (1990) · The Journal of Nutrition · doi:10.1093/jn/120.suppl_11.1555 · Cited by 1,220
Household Food Security in the United States in 2013Preprint
Coleman‐Jensen, A., Gregory, C., & Singh, A. P. (2014) · SSRN Electronic Journal · doi:10.2139/ssrn.2504067 · Cited by 901
Cepeda, M. S. (2003) · American Journal of Epidemiology · doi:10.1093/aje/kwg115 · Cited by 859
Housing instability and food insecurity as barriers to health care among low-income americans
Kushel, M., Gupta, R., Gee, L., & Haas, J. S. (2005) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.00278.x · Cited by 843
Food Insecurity Is Positively Related to Overweight in Women
Townsend, M. S., Peerson, J. M., Love, B., Achterberg, C., & Murphy, S. P. (2001) · Journal of Nutrition · doi:10.1093/jn/131.6.1738 · Cited by 831
Seligman, H. K., Bindman, A. B., Vittinghoff, E., Kanaya, A. M., & Kushel, M. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0192-6 · Cited by 824
Household Food Insufficiency Is Associated with Poorer Health
Vozoris, N. T., & Tarasuk, V. S. (2003) · Journal of Nutrition · doi:10.1093/jn/133.1.120 · Cited by 738
Factors Associated With the Health Care Utilization of Homeless Persons
Kushel, M. (2001) · JAMA · doi:10.1001/jama.285.2.200 · Cited by 725
Research works printed but not linked: 8
- The United States Conference of Mayors. Hunger and Homelessness Survey: A Status Report on Hunger and Homelessness in America’s Cities: A 27-City Survey. Washington, DC: The United States Conference of Mayors; 2009.
- National Research Council. Food insecurity and hunger in the United States: an assessment of the measure. Panel to review the US Department of Agriculture’s measurement of food insecurity and hunger. In: Wunderlich GS, Norwood JL, eds. Committee on National Statistics, Division of Behavioral and Social Sciences and Education. Washington, DC: The National Academies Press; 2006.
- Greene J, Fahrney K, Byron M. Health Care for the Homeless User/Visit Surveys, RTI Project Number 07147.021. Research Triangle Park, NC: RTI International; 2004.
- Carlson S, Briefel RR. The USDA and NHANES food sufficiency question as an indicator of hunger and food insecurity. Paper presented at: Conference on Food Security Measurement and Research. 1995; Washington, DC
- Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. The Alcohol Use Disorders Test: Guidelines for Use in Primary Care, Second Edition. Document No. WHO/MSD/MSB/01.6a: World Health Organization; 2001.
- National Center for Health Statistics. Data File Documentation, National Health Interview Survey of Topics Related to the Year 2000 Health Objectives, 1995. Hyattsville, MD: National Center for Health Statistics; 1997.
- Burt MR. Urban Institute. Homelessness: Programs and the People They Serve: Findings of the National Survey of Homeless Assistance Providers and Clients: Technical Report. Washington, DC: US Department of Housing and Urban Development, Office of Policy Development and Research; 1999.
- Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide to Measuring Household Food Security. Alexandria, VA: US Department of Agriculture, Food and Nutrition Service; 2000.
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Fazel, S., Geddes, J. R., & Kushel, M. (2014) · The Lancet · doi:10.1016/s0140-6736(14)61132-6 · Cited by 1,568
Cardiovascular Disease and Homelessness
Baggett, T. P., Liauw, S. S. L., & Hwang, S. W. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.02.077 · Cited by 203
Self-citationWeiser, S. D., Tsai, A. C., Gupta, R., Frongillo, E. A., Kawuma, A., Senkungu, J. K., Hunt, P. W., Emenyonu, N. I., Mattson, J. E., Martin, J. N., et al. (2011) · AIDS · doi:10.1097/qad.0b013e32834cad37 · Cited by 185
Weiser, S. D., Hatcher, A. M., Frongillo, E. A., Guzman, D., Riley, E. D., Bangsberg, D. R., & Kushel, M. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2176-4 · Cited by 112
Food Insufficiency and Mental Health in the U.S. During the COVID-19 Pandemic
Nagata, J. M., Ganson, K. T., Whittle, H. J., Chu, J., Harris, O., Tsai, A. C., & Weiser, S. D. (2021) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2020.12.004 · Cited by 103
Metadata
- Authors
- Baggett, T. P., Singer, D. E., Rao, S. R., O’Connell, J. J., Bharel, M., & Rigotti, N. A.
- Affiliations
- Massachusetts General Hospital (US)
- Harvard University (US)
- Corresponding author
- Baggett, Travis P.
- Venue
- Journal of General Internal Medicine
- Published
- 2011-01-29
- Volume
- 26
- Issue
- 6
- Pages
- 627-634
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC3101971
- OpenAlex
- W2094329398
- Cited by
- 105
- References
- 48
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 7 · 2021: 10 · 2020: 10 · 2019: 9 · 2018: 11 · 2017: 6 · 2016: 6 · 2015: 11 · 2014: 5 · 2013: 10 · 2012: 5
- FWCI
- 13.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of General Internal Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Funders
- U.S. Department of Health and Human Services
- Health Resources and Services Administration (T32 HP10251)
- U.S. Public Health Service (T32 HP10251)
- National Center for Research Resources (UL1RR031982)
- Topics
- Social Sciences › Sociology and Political Science › Homelessness and Social Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
- Life Sciences › Agricultural and Biological Sciences › General Agricultural and Biological Sciences › Food Security and Socioeconomic Dynamics
- Keywords
- food insufficiency, homelessness, health care utilization, hospitalization, emergency department utilization, psychiatric hospitalization, chronic homelessness, food insecurity
- MeSH terms
- Adult, Data Collection, Eating, Female, Food Supply, Health Services, Ill-Housed Persons, Hospitalization, Humans, Male, Middle Aged, Nutritional Status, Patient Acceptance of Health Care, United States, Malnutrition
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